Stroke

Question 1

What is the definition of a stroke?

Answer 1

A clinical syndrome with presumed vascular origin characterised by rapidly developing signs of focal/ global disturbance of cerebral function lasting > 24 hours or leading to death

Question 2

What are the types of stroke and their meanings?

Answer 2

Ischaemic - vascular occlusion

Haemorrhagic - symptoms from a bleed in the brain or arachnoid space not caused by trauma

Silent - stroke that doesn’t cause any symptoms

Question 3

What are some lifestyle factors that increase the risk of stroke?

Answer 3

High BP
Obesity
Inactivity
Poor diet
Smoking

Question 4

Describe the relationship to ICF, psychometric properties and what is measured for the Stroke Impact Scale

Answer 4

Activity/ Participation

Measures ADLs, cognition, emotion, motor, general health

Generates a 0-100 score

Excellent reliability
Adequate - excellent validity
(Stroke engine)

Question 5

Describe the relationship to ICF, psychometric properties and what is measured for the Motor Assessment Scale

Answer 5

Activity focus

Required equipment and the observation of patient completing tasks

Measures 8 domains (59 total items) of ADLs and motor tasks
Each Q is scored 0-5

Excellent correlation with other OMs but no content vaildation is available due to the fact that scoring is based on observation of improvements

Adequate - excellent reliability (Shirley ryan)
Mostly excellent validity (Shirley Ryan)